出版社:Universidad Nacional de Costa Rica, Escuela de Filosofía
摘要:In this article I examine the set of ideas that led to a “reform” of Costa Rica ́s health system during the 1990s, in order to expose the underlying ethics. This exercise is also useful to show how resources ́ distribution for public health services is not lineal or easy to understand. Three contrasting ethics have been used to promo these neoliberal reforms: utilitarianism, mercadology, and equalitarian liberalism. These approaches have been used indiscriminately by the Caja Costarricense de Seguro Social, showing important divergences between what is said and what is done.
其他摘要:In this article I examine the set of ideas that led to a “reform” of Costa Rica ́s health system during the 1990s, in order to expose the underlying ethics. This exercise is also useful to show how resources ́ distribution for public health services is not lineal or easy to understand. Three contrasting ethics have been used to promo these neoliberal reforms: utilitarianism, mercadology, and equalitarian liberalism. These approaches have been used indiscriminately by the Caja Costarricense de Seguro Social, showing important divergences between what is said and what is done.
关键词:Health sector ethics; neoliberal reform of health systems; Costa Rica.;É́tica en sector salud; ética y reforma neoliberal del sector salud; Costa Rica.
其他关键词:Health sector ethics, neoliberal reform of health systems, Costa Rica.